I currently contract with an office that recently filed a claim for procedure code D4211 gingivectomy. Delta Dental denied claim because gums had SRP’S done earlier this year. I saw that gingivectomy has other codes assoicated with it one being D4212 which I think is coded when procedure is done to remove gum tissue for a restoration. Do you think they can use that code or was the correct code used since they had perio treatment done earlier this year?
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